Volume 15, Issue 1 (3-2023)                   IJDO 2023, 15(1): 51-58 | Back to browse issues page


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Nazari M, Shabani R, Dalili S. Effect of Concurrent Resistance-Aerobic Training on Neutrophil-Lymphocyte Ratio and Platelet-Lymphocyte Ratio in Pediatric Type 1 Diabetes: A Randomized Trial. IJDO 2023; 15 (1) :51-58
URL: http://ijdo.ssu.ac.ir/article-1-778-en.html
Department of Exercise Physiology, Faculty of Humanities, Rasht Branch, Islamic Azad University, Rasht, Iran.
Abstract:   (550 Views)
Objective: The role of post-exercise on the neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) is not evident in pediatrics with type 1 diabetes (T1D) yet. This paper reports the results of a research study on how concurrent exercise training affects NLR and PLR in children with T1D.
Materials and Methods: In this randomized controlled trial, 40 children (boys and girls aged 11.11 ±2.29 years) were randomly divided into an experimental (n=20) and a control group (n=20). The training program included concurrent resistance-aerobic training, which was intermittently performed for 60 minutes at a rate of three times a week for 16 weeks. The participants were analyzed for blood glucose homeostasis, NLR and PLR before and after the program. Data were analyzed by SPSS 22 software with paired T-test and covariance analysis (P< 0.05).
Results: The results showed that PLR significantly (P= 0.002) decreased in the exercise group after 16 weeks of concurrent training. This significance was observed between the groups too (P= 0.003). HbA1c decreased both in the exercise group and between the groups (P= 0.001, P= 0.003). NLR exhibited a significant increase both in the exercise group (P= 0.021( and between the groups )P= 0.012(.
Conclusion: Concurrent exercise training reduces PLR and HbA1c in children with T1D, which may be related to the anti-inflammatory effects of exercise training.
 
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Type of Study: Research | Subject: Special
Received: 2022/10/21 | Accepted: 2023/01/7 | Published: 2023/03/19

References
1. 1. Fonolleda M, Murillo M, Vázquez F, Bel J, Vives-Pi M. Remission phase in paediatric type 1 diabetes: new understanding and emerging biomarkers. Hormone research in paediatrics. 2017;88(5):307-15. [DOI:10.1159/000479030]
2. Elenkov IJ, Iezzoni DG, Daly A, Harris AG, Chrousos GP. Cytokine dysregulation, inflammation and well-being. Neuroimmuno modulation. 2005;12(5):255-69. [DOI:10.1159/000087104]
3. Miranda, Sara, and Alda Marques. "Pilates in noncommunicable diseases: a systematic review of its effects." Complementary therapies in medicine 39 (2018):114-130. [DOI:10.1016/j.ctim.2018.05.018]
4. Wang K, Li F, Cui Y, Cui C, Cao Z, Xu K, et al. The association between depression and type 1 diabetes mellitus: inflammatory cytokines as ferrymen in between?. Mediators of Inflammation. 2019;2019. [DOI:10.1155/2019/2987901]
5. Salah N, Radwan N, Atif H. Neutrophil Lymphocytic Ratio and Platelets Lymphocytic Ratio in Type 1 Diabetic Children: Relation to Diabetic Vascular Complications. Metabolism-Clinical and Experimental. 2021;116. [DOI:10.1016/j.metabol.2020.154579]
6. Lee CT, Harris SB, Retnakaran R, Gerstein HC, Perkins BA, Zinman B, et al. White blood cell subtypes, insulin resistance and β‐cell dysfunction in high‐risk individuals-the PROMISE cohort. Clinical endocrinology. 2014;81(4):536-41. [DOI:10.1111/cen.12390]
7. Demirtas L, Degirmenci H, Akbas EM, Ozcicek A, Timuroglu A, Gurel A, et al. Association of hematological indicies with diabetes, impaired glucose regulation and microvascular complications of diabetes. International journal of clinical and experimental medicine. 2015;8(7):11420.
8. Walzik D, Joisten N, Zacher J, Zimmer P. Transferring clinically established immune inflammation markers into exercise physiology: focus on neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and systemic immune-inflammation index. European Journal of Applied Physiology. 2021;121(7):1803-14. [DOI:10.1007/s00421-021-04668-7]
9. Carral San Laureano F, JV GM, JJ SR. Impact of physical activity on metabolic control and the development of chronic complications in patients with type 1 diabetes mellitus. Endocrinologia y Nutricion: Organo de la Sociedad Espanola de Endocrinologia y Nutricion. 2010;57(6):268-76. [DOI:10.1016/j.endonu.2010.03.007]
10. Conn VS, Hafdahl AR, LeMaster JW, Ruppar TM, Cochran JE, Nielsen PJ. Meta-analysis of health behavior change interventions in type 1 diabetes. American Journal of Health Behavior. 2008;32(3):315-29. [DOI:10.5993/AJHB.32.3.9]
11. Yardley JE, Sigal RJ. Glucose management for exercise using continuous glucose monitoring: should sex and prandial state be additional considerations?. Diabetologia. 2021;64(4):932-4. https://doi.org/10.1007/s00125-020-05373-4 [DOI:10.1007/s00125-020-05373-4.]
12. Gleeson M, Bishop NC, Stensel DJ, Lindley MR, Mastana SS, Nimmo MA. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease. Nature reviews immunology. 2011;11(9):607-15. [DOI:10.1038/nri3041]
13. Pedersen BK, Febbraio MA. Muscle as an endocrine organ: focus on muscle-derived interleukin-6. Physiological reviews. 2008;88(4):1379-406. [DOI:10.1152/physrev.90100.2007]
14. Flynn MG, McFarlin BK. Toll-like receptor 4: link to the anti-inflammatory effects of exercise?. Exercise and sport sciences reviews. 2006;34(4):176-81. [DOI:10.1249/01.jes.0000240027.22749.14]
15. Rias YA, Kurniasari MD, Traynor V, Niu SF, Wiratama BS, Chang CW, et al. Synergistic effect of low neutrophil-lymphocyte ratio with physical activity on quality of life in type 2 diabetes mellitus: A community-based study. Biological research for nursing. 2020;22(3):378-87. [DOI:10.1177/1099800420924126]
16. Joisten N, Proschinger S, Rademacher A, Schenk A, Bloch W, Warnke C, et al. High-intensity interval training reduces neutrophil-to-lymphocyte ratio in persons with multiple sclerosis during inpatient rehabilitation. Multiple Sclerosis Journal. 2021;27(7):1136-9. [DOI:10.1177/1352458520951382]
17. Wang R, Chen PJ, Chen WH. Diet and exercise improve neutrophil to lymphocyte ratio in overweight adolescents. International journal of sports medicine. 2011;32(12):e1-5. [DOI:10.1055/s-0031-1297985]
18. Wei CY, Chen CY, Liao YH, Tsai YS, Huang CY, Chaunchaiyakul R, et al. Deep ocean mineral supplementation enhances the cerebral hemodynamic response during exercise and decreases inflammation postexercise in men at two age levels. Frontiers in Physiology. 2017;8:1016. [DOI:10.3389/fphys.2017.01016]
19. Pagola I, Morales JS, Alejo LB, Barcelo O, Montil M, Oliván J, et al. Concurrent exercise interventions in breast cancer survivors with cancer-related fatigue. International journal of sports medicine. 2020;41(11):790-7. [DOI:10.1055/a-1147-1513]
20. Greenleaf CA, Petrie TA, Martin SB. Psychosocial variables associated with body composition and cardiorespiratory fitness in middle school students. Research quarterly for exercise and sport. 2010;81(3):S65-74. [DOI:10.1080/02701367.2010.10599695]
21. Marta C, Marinho DA, Barbosa TM, Izquierdo M, Marques MC. Effects of concurrent training on explosive strength and VO2max in prepubescent children. International journal of sports medicine. 2013;34(10):888-96. [DOI:10.1055/s-0033-1333695]
22. Alonso N, Martínez-Peinado P, Pascual-García S, Sempere Ortells JM, Roche E. Changes in metabolic and inflammatory parameters in a type 1 diabetic patient performing extreme activities 2019.
23. Tunar M, Ozen S, Goksen D, Asar G, Bediz CS, Darcan S. The effects of Pilates on metabolic control and physical performance in adolescents with type 1 diabetes mellitus. Journal of diabetes and its complications. 2012;26(4):348-51. [DOI:10.1016/j.jdiacomp.2012.04.006]
24. Erlandson MC, Hounjet S, Treen T, Lanovaz JL. Upper and lower limb loading during weight-bearing activity in children: reaction forces and influence of body weight. Journal of Sports Sciences. 2018;36(14):1640-7. [DOI:10.1080/02640414.2017.1407438]
25. Boyaci A, Tutar M, Biyikli T. The Effect of Dynamic and Static Core Exercises on Physical Performance in Children. Online Submission. 2018;4(7):50-61.
26. Rokka S, Kouli O, Bebetsos E, Goulimaris D, Mavridis G. Effect of Dance Aerobic Programs on Intrinsic Motivation and Perceived Task Climate in Secondary School Students. International Journal of Instruction. 2019;12(1):641-54. [DOI:10.29333/iji.2019.12141a]
27. Schlagheck ML, Walzik D, Joisten N, Koliamitra C, Hardt L, Metcalfe AJ, et al. Cellular immune response to acute exercise: comparison of endurance and resistance exercise. European journal of haematology. 2020;105(1):75-84. [DOI:10.1111/ejh.13412]
28. Timmerman KL, Flynn MG, Coen PM, Markofski MM, Pence BD. Exercise training‐induced lowering of inflammatory (CD14+ CD16+) monocytes: a role in the anti‐inflammatory influence of exercise?. Journal of leukocyte biology. 2008;84(5):1271-8. [DOI:10.1189/jlb.0408244]
29. Wang J, Song H, Tang X, Yang Y, Vieira VJ, Niu Y, et al. Effect of exercise training intensity on murine T‐regulatory cells and vaccination response. Scandinavian journal of medicine & science in sports. 2012;22(5):643-52. [DOI:10.1111/j.1600-0838.2010.01288.x]
30. Cupps TR, Fauci AS. Corticosteroid-mediated immunoregulation in man. Immunological reviews. 1982;65:133-55. [DOI:10.1111/j.1600-065X.1982.tb00431.x]
31. Wahl, Patrick, Sebastian Mathes, Wilhelm Bloch, and Philipp Zimmer. "Acute impact of recovery on the restoration of cellular immunological homeostasis." International journal of sports medicine.2020:12-20. [DOI:10.1055/a-1015-0453]
32. Teixeira-Lemos E, Nunes S, Teixeira F, Reis F. Regular physical exercise training assists in preventing type 2 diabetes development: focus on its antioxidant and anti-inflammatory properties. Cardiovascular diabetology. 2011;10:1-5. [DOI:10.1186/1475-2840-10-12]
33. Svendsen IS, Hem E, Gleeson M. Effect of acute exercise and hypoxia on markers of systemic and mucosal immunity. European journal of applied physiology. 2016;116:1219-29. [DOI:10.1007/s00421-016-3380-4]
34. Mertoglu C, Gunay M. Neutrophil-Lymphocyte ratio and Platelet-Lymphocyte ratio as useful predictive markers of prediabetes and diabetes mellitus. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017;11:S127-31. [DOI:10.1016/j.dsx.2016.12.021]

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